National Provider Identifier Database

WILLIAM M MAHON, MD – NPI #1184646259
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

WILLIAM M MAHON, MD
510 CYPRESS ST STE D
FORT BRAGG, CA95437-5411
Phone: 707-964-5696
Fax: 707-964-6274
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for WILLIAM M MAHON

NPI Number 1184646259
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 02/15/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • CA License #: G30967
  • CA Medicaid: OOG309670
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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